Credentialing & Enrollment Services in North Dakota

CapitalMed Solutions offers expert provider credentialing and enrollment support for healthcare practices across North Dakota streamlining Medicaid onboarding, ensuring accuracy, and minimizing claim denials.

Why North Dakota Providers Trust Our Credentialing & Enrollment Services?

State-Sanctioned Enrollment via ND Health Enterprise MMIS Portal: All North Dakota Medicaid providers (except QSPs) must enroll through the ND Health Enterprise MMIS Web Portal, managed by Noridian Healthcare Solutions on behalf of NDHHS.

Smart Pre-Enrollment Checks: Before applying, providers should verify their enrollment status by searching via NPI or provider name this prevents duplicate submissions.

Qualified Service Provider (QSP) Enrollment Unique Workflow: Enrolling as a QSP (e.g., for adult foster care, personal care) requires using the ND QSP Hub, completing competency training (e.g., SFN 750), and uploading certificate documentation.

Revalidation & Application Tracking: Applications generate an Application Tracking Number (ATN) to resume or monitor submissions; revalidation must be completed every five years to maintain active status.

Credentialing & Enrollment Services We Offer in North Dakota

At CapitalMed Solutions, a trusted medical billing service company, we support a wide range of healthcare specialties across North Dakota—including Fargo, Bismarck, Grand Forks, Minot, West Fargo, Williston, Dickinson, Mandan, Jamestown, and Wahpeton. Our specialty credentialing and payer enrollment services cover anesthesiology, radiology, cardiology, orthopedics, primary care, pediatrics, and more—helping practices statewide gain network participation efficiently.

Whether requirements are national or North Dakota–specific, our experts stay current to ensure accurate applications, timely follow-ups, and compliant provider enrollment. For each specialty, we deliver tailored credentialing solutions that reduce delays, prevent denials, and streamline your revenue cycle.

Our Credentialing & Enrollment Process in North Dakota

Determine provider type (individual, group, QSP, etc.) and guide you through portal login and ATN capture for resuming applications.

Prepare DPS alignment documentation—tax ID, license, NPI, DEA, CLIA, affiliation/ownership details—and submit with the MMIS application.

If enrolling as a QSP, we assist with TrainND, SFN 750 competency form, and QSP Hub portal video training.

Use ATN to track progress and respond to Noridian support flags or data requests timely.

Keep your enrollment current—track and submit revalidation every five years.

After Medicaid ID issuance, ready your profile data and documentation for networks like BCBSND’s Medicaid Expansion panel.

Support ongoing updates (e.g., affiliation changes, EFT, sanctions disclosures) via the MMIS portal and provider relations helpdesk.

Benefits of Choosing Us for Credentialing Services in North Dakota

  • Accelerated Enrollment Approvals: Optimized application assembly and local portal familiarity speed up processing.
  • Minimized Administrative Burden: We manage the entire lifecycle from documentation to tracking and follow-up.
  • Enhanced Compliance: Proper taxonomy, ownership, and affiliation handling keeps you in good standing.
  • Streamlined MCO Access: Fast-tracks your readiness for Medicaid Expansion or MCO networks.
  • Sustained Billing Eligibility: Proactive revalidation support helps avoid lapses in enrollment and claims disruption.

Major Insurances Companies

Insurance Networks We Work With for Credentialing in North Dakota

At CapitalMed Solutions, we partner with major insurance carriers across North Dakota to ensure seamless provider credentialing and faster payer enrollment. Our relationships with leading payers help healthcare professionals get credentialed efficiently, stay compliant, and serve more patients with confidence.

Tricare Credentialing & Enrollment Services in North Dakota
North Dakota Medicaid Credentialing & Enrollment Services in North Dakota
Medica Credentialing & Enrollment Services in North Dakota
Sanford Health Plan Credentialing & Enrollment Services in North Dakota
Blue Cross Blue ShieldCredentialing & Enrollment Services in North Dakota
humana Credentialing & Enrollment Services in North Dakota
aetna Credentialing & Enrollment Services in North Dakota
Cigna Credentialing & Enrollment Services in North Dakota
United Health Care Credentialing & Enrollment Services in North Dakota
Medicare-Logo Credentialing & Enrollment Services in North Dakota

Ready to simplify credentialing and enrollment in North Dakota?

Contact our North Dakota credentialing experts today we’ll handle your MMIS application, ensure your revalidation, and prepare you for seamless access to Medicaid and managed care networks—so you can focus on patient care confidently.

Working Hours

Monday – Friday 09 AM To 05 PM

Our Location

77 Sugarcreek Blvd Suite 600, Sugar Land, TX 77478